Chino Hills, CA · San Bernardino County

No notary required

Cell Site Encroachment Permit Application & Checklist

Cell site project applicants use this application and checklist to submit project information and required plans for an encroachment permit.

What this form is

The City requires this application to verify design standards and conditions of approval for approved cell site projects; it must be provided when plans are submitted. It asks for project and applicant details, a certification, and a signature and date. The checklist identifies plans and other materials to include, such as utility information, site plans, and, if required, a traffic control plan.

Who needs it

Applicants for approved cell site projects must provide this application and checklist when submitting plans to the City.

How to submit it

Submit the application and plan materials to the Public Works Department, Engineering Division, at 14000 City Center Dr., Chino Hills, CA 91709, or email [email protected]. The form lists an application fee and a plan check submittal fee through a Trust Deposit Account if required.

About notarization

This application is signed and dated without a notary; plan sets must be wet stamped and signed, and a traffic control plan must be signed by a registered Traffic Engineer if required.

How to submit this form

  1. 1

    Download The Application

    Download the Cell Site Encroachment Permit Application & Checklist PDF.

  2. 2

    Complete The Application

    Enter the project and applicant information, then sign, print your name, and date the certification.

  3. 3

    Gather Required Plans

    Use the checklist to assemble four complete sets of plans and applicable attachments, including any required traffic control plan.

  4. 4

    Submit To The City

    Provide the application and plans to the Public Works Department, Engineering Division, at the listed address or email.

Frequently asked questions

What is the Cell Site Encroachment Permit Application & Checklist?
It is an application and submittal checklist for approved cell site projects. The City uses it to verify compliance with design standards and conditions of approval.
Who needs to submit this application?
Applicants for approved cell site projects must provide the application when they submit plans. It requests project and applicant information and lists plan materials to include.
How do I submit the application?
Submit the application and plan materials to the Public Works Department, Engineering Division, at 14000 City Center Dr., Chino Hills, CA 91709, or email [email protected].
Do I need a notary for this application?
No. The application is signed and dated without a notary. Plan sets must be wet stamped and signed, and a traffic control plan must be signed by a registered Traffic Engineer if required.

Need something notarized?

This Cell Site Encroachment Permit Application & Checklist doesn’t need a notary — but if you have another Chino Hills form that does, a commissioned online notary can help.